Popliteal Arteriovenous Fistula Following Total Knee Arthroplasty

Abstract

Postoperative popliteal arteriovenous fistula is a very rare complication. We report a unique asymptomatic fistula in a 77-year-old male patient, seven months after total knee replacement. The diagnosis was suspected by a clinical palpable thrill and confirmed with a typical doppler ultrasound signaling. This vascular malformation was successfully treated by surgical resection of the fistula. Referring to the literature, considering the management of popliteal aneurysms, we suggest to prefer an open procedure in patients who are in good general condition.

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Notes on contributors

L. J. Ceulemans

L. J. Ceulemans, M.D. Department of General Surgery University Hospital Leuven Campus Gasthuisberg Herestraat 49 3000 Leuven, Belgium Tel.: [phone] Fax: [phone] E-mail: [email protected]